JOSE HERNAN QUIROGA PERALTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012261

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

HERNAN

Last Name

QUIROGA PERALTA

Business Name

JOSE HERNAN QUIROGA PERALTA

Original Issue Date

08/14/2007

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022